| NPI | 1306998745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17782) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 016770) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-10-12 |